Healthcare Provider Details

I. General information

NPI: 1356440218
Provider Name (Legal Business Name): NEW MARKET PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9438 CONGRESS STREET
NEW MARKET VA
22844
US

IV. Provider business mailing address

PO BOX 1288
NEW MARKET VA
22844-1288
US

V. Phone/Fax

Practice location:
  • Phone: 540-740-9393
  • Fax: 540-740-9330
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201003393
License Number StateVA

VIII. Authorized Official

Name: JAMES FANSLER
Title or Position: PRESIDENT
Credential:
Phone: 540-740-9393